Journal
CURRENT OPINION IN CLINICAL NUTRITION AND METABOLIC CARE
Volume 13, Issue 5, Pages 554-561Publisher
LIPPINCOTT WILLIAMS & WILKINS
DOI: 10.1097/MCO.0b013e32833b64d2
Keywords
liver transplantation; morbidity; mortality; nutrition intervention; nutritional status
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Funding
- FAPEMIG
- CNPq
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Purpose of review To review the most recent aspects of nutrition therapy of cirrhotic patients on the waiting list for liver transplantation. Recent findings Undernutrition has been widely reported among these patients, despite the lack of consensus on the best nutritional assessment tools in this population. Nutrition therapy has been marked by controversy. Nonetheless, recent findings have pointed out to the important role of the nutrition status and of some specific nutrients on the outcome of these patients. Summary We report the latest findings on nutrition care of patients with end-stage liver disease on the waiting list for liver transplantation such as the impact of the nutritional status on outcome, probiotic and branched-chain amino acid supplementation, as well as the use of immunomodulating formula. Another important strategy that has been shown to improve these patients' nutritional care is the offering of nocturnal meals and micronutrient supplementation.
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